AIIMS Pediatrics Syllabus

AIIMS Pediatrics Syllabus

 

The course includes systematic instructions in growth and development, nutritional needs of a child, immunization schedules and management of common diseases of infancy and childhood, scope of Social Pediatrics and counselling.

OBJECTIVES

The broad goals of the teaching of undergraduate students in Pediatrics are to acquire knowledge and appropriate skills for optimally dealing with major health problems of children and to ensure their optimal growth and development.

Knowledge

At the end of the course, the student shall be able to:

(a)     Describe the normal growth and development during fetal life, neonatal period, childhood and adolescence and outline deviations thereof;

(b)     Describe the common pediatrics disorder and emergencies in terms of epidemiology, etiopathogenesis, clinical manifestations, diagnosis, rational therapy and rehabilitation;

(c)     State age related requirements of calories, nutrients, fluids, drugs etc. in health and disease;

(d)     Describe preventive strategies for common infectious disorders, malnutrition, genetic and metabolic disorders, poisonings, accidents and child abuse;

(e)     Outline national programmes relating to child health including immunization programmes;

Skills

At the end of the course, the student shall be able to:

(a)     Take a detailed pediatrics history, conduct an appropriate physical examination of children including neonates, make clinical diagnosis, conduct common bedside investigative procedures, interpret common laboratory investigations and plan and institute therapy;

(b)     Take anthropometric measurements, resuscitate newborn infants with bag and mask at birth, prepare oral rehydration solution, perform tuberculin test, administer vaccines available under current national programmes, start an intravenous line and provide naso-gastric feeding, observe venesection and

intra-osseous infusion if possible.

(c)     Conduct diagnostic procedures such as lumbar puncture, bone marrow aspiration, pleural tap and ascitic tap; observe liver and kidney biopsy.

(d)     Distinguish between normal newborn babies and those requiring special care and institute early care to all new born babies including care of pre-term and low birth weight babies, provide correct guidance and counselling in breast-feeding.

(e)     Provide ambulatory care to all sick children, identify indications for specialized/inpatient care and ensure timely referral of those who require hospitalization.

Integration

The training in pediatrics should be done in an integrated manner with other disciplines, such as Anatomy,

Physiology, Forensic Medicine, Community Medicine, Obstetrics and Physical Medicine, curative and

rehabilitative services for care of children both in the community and at hospital as part of a team.

COURSE CONTENT Vital statistics

  • Definition and overview of Pediatrics with special reference to age-related disorders. Population structure, pattern of morbidity and mortality in children.
  • Maternal, perinatal, neonatal, infant and preschool mortality rates. Definition, causes, present status and measures for attainment of goals.
  • Current National programmes such as ICDS, RCH, Vitamin A prophylaxis, UIP, Pulse polio, AFP, ARI, Diarrhea control programme etc., IMCI
  • Other National Programmes

Growth and development

  • Normal growth from conception to maturity.
  • Anthropometry – measurement and interpretation of weight, length/height, head circumference, mid-arm circumference. Use of weighing machines, infantometer
  • Interpretation of Growth Charts: Road to Health card and percentile growth curves.
  • Abnormal growth patterns – failure to thrive, short stature.
  • Growth pattern of different organ systems such as lymphoid, brain and sex organs.
  • Normal pattern of teeth eruption.
  • Principles of normal development
  • Important milestones in infancy and early childhood in the areas of Gross Motor, Fine Motor, Language and Personal-Social development. 3-4 milestones in each of the developmental fields, age of normal appearance and the upper age of normal psychological and behavioral problems.
  • Measurement and interpretation of sitting height, US: LS ratio and arm span.
  • Age-independent anthropometric measurement-principles and application.

Nutrition

Normal requirements of protein, carbohydrates, fats, minerals and vitamins for newborn, children and pregnant and lactating mother. Common food sources.

  • Breast feeding, physiology and lactation, composition of breast milk, Colostrum, Initiation and technique of feeding. Exclusive breast milk. Hazards and demerits of prelacteal feed, top milk and bottle-feeding. Feeding of LBW babies.
  • Infant feeding/weaning foods, method of weaning.
  • Assessment of nutritional status of a child based on history and physical examination.
  • Protein energy malnutrition-Definition, classification according to IAP/Wellcome Trust, acute versus chronic malnutrition. Clinical features of Marasmus & kwashiorkar. Causes and management of PEM including that of complications planning a diet for PEM.
  • Vitamins-Recognition of vitamin deficiencies (A, D, K, C, B Complex). Etiopathogenesis, clinical feature, biochemical and radiological findings, differential diagnosis an management of nutritional rickets & scurvy. Hypervitaminosis A and D.
  • Characteristics of transitional and mature milk (foremilk & hind milk). Prevention and management of lactation failure and feeding problems.
  • Definition, causes and management of obesity.

Immunization

  • National Immunization Programme.
  • Principles of Immunization. Vaccine preservation and cold-chain.
  • Types, contents, efficacy storage, dose, site, route, contra-indications and adverse reactions of vaccines – BCG, DPT, OPV, Measles, MMR and Typhoid: Rationale and methodology of Pulse Polio Immunization.
  • Investigation and reporting of vaccine preventable diseases. AFP (Acute Flaccid Paralysis) surveillance
  • Special vaccines like Hepatitis B, H influenza B, Pneumococcal, Hepatitis A, Chicken pox, Meningococcal, and Rabies.

Infectious diseases

  • Epidemiology, basic pathology, natural history, symptoms, signs, complications, investigations, differential diagnosis, management and prevention of common bacterial, viral and parasitic infections in the region, with special reference to vaccine-preventable disease: Diarrhea, LRTI, Tuberculosis, Poliomyelitis, Meningitis, Diphtheria, Whooping cough, Tetanus including neonatal tetanus, Measles, Mumps, Rubella, Typhoid, Viral Hepatitis, Cholera, Chickenpox, Giardiasis, Amoebiasis, Intestinal helminthiasis, Malaria, Dengue fever, AIDS.
  • Kala-Azar, Leprosy, Chlamydia infection Hematology
    • Causes of anemia in childhood. Classification based on etiology and morphology.
    • Epidemiology, recognition, diagnosis, management and prevention of nutritional anemia-iron deficiency, megaloblastic.
    • Clinical approach to a child with anemia with lymphadenopathy and/or hepato-splenomegaly.
    • Epidemiology, clinical features, investigations and management of Thalassemia.
    • Approach to a bleeding child.
    • Diagnosis of acute lymphoblastic leukemia and principles of treatment.
    • Clinical features and management of hemophilia, ITP.
    • Diagnosis and principles of management of lymphomas.
    • Types, clinical features and management of acute hemolytic anemia.
    • Non-thrombocytopenic purpura (Henoch-Schonlein purpura)

Respiratory system

  • Clinical approach to a child with cyanosis, respiratory distress, wheezing. Significance of recession, retraction.
  • Etiopathogenesis, clinical features, complications, investigations, differential diagnosis and management of acute upper respiratory infections, pneumonia with emphasis on bronchopneumonia, bronchiolitis, bronchitis. Acute and chronic otitis media.
  • Etiopathogenesis, clinical features, diagnosis, classification and management of bronchial asthma. Treatment of acute severe asthma.
  • Pulmonary tuberculosis-tuberculous infection versus tuberculous disease, difference between primary and post-primary tuberculosis. Etiopathogenesis, diagnostic criteria in children versus adults. Diagnostic aids-technique and interpretation of Mantoux test and BCG test. Radiological patterns, Chemoprophylaxis and treatment.
  • Diagnosis and management of foreign body aspiration. Differential diagnosis of stridor.
  • Pathogenesis, clinical features and management of pneumothorax, pleural effusion and empyema.
  • Multidrug resistant tuberculosis, Bronchiectasis, pulmonary cysts

Gastro Intestinal Tract

  • Clinical approach to a child with jaundice, vomiting, abdominal pain, upper and lower GI bleeding, hepato-splenomegaly.
  • Acute diarrheal disease-Etiopathogenesis, Clinical differentiation of watery and invasive diarrhea, complications of diarrheal illness. Assessment f dehydration, treatment at home and in hospital. Fluid and electrolyte management. Oral rehydration, composition of ORS.
  • Persistent and chronic diarrhea
  • Clinical features and management of acute viral hepatitis and acute liver failure, causes & diagnosis of Chronic Liver Disease.
  • Neonatal cholestasis, portal hypertension
  • Common causes of constipation.
  • Abdominal tuberculosis.
  • Causes, clinical features and management of Portal hypertension, Reye’s syndrome, Celiac disease.
  • Drug induced hepatitis

Central Nervous System

  • Evaluation of milestones and developmental age
  • Localization of neurological deficit
  • Clinical approach to a child with coma, mental retardation
  • Common causes and approach to convulsion
  • Clinical diagnosis, investigations and treatment of acute pyogenic meningitis, encephalitis & Tubercular Meningitis, Cerebral Malaria
  • Seizure Disorder-Causes and types of convulsions at different ages. Diagnosis categorization & management of Epilepsy (Broad outline). Febrile convulsions-definition, types Management of seizures and status epilepticus.
  • Causes, diagnosis and management of cerebral palsy.
  • Acute flaccid paralysis – Differentiation between Polio and Guillain – Barre syndrome.
  • Microcephaly, Hydrocephalus, chorea
  • Counseling parents for inherited neurological diseases
  • Infantile tremor syndrome, infantile hemiplegia

Cardiovascular system

  • Clinical features, diagnosis, investigation, treatment and prevention of acute rheumatic fever. Common forms of rheumatic heart disease in childhood. Differentiation between rheumatic and rheumatoid arthritis.
  • Recognition of congenital acyanotic and cyanotic heart disease. Hemodynamics, clinical features and management of VSD, PDA, ASD and Fallot’s tetralogy (Cyanotic spells).
  • Recognition of congestive cardiac failure in children.
  • Hypertension in children-recognition and referral.
  • Diagnosis and management of bacterial endocarditis, pericardial effusion, myocarditis. Genito-Urinary system
    • Basic etiopathogenesis, clinical features, diagnosis, complications and management of acute post­streptococcal glomerulo-nephritis and nephrotic syndrome.
    • Etiology, clinical feature, diagnosis and management of urinary tract infection – acute and recurrent.
    • Etiology, diagnosis and principles of management of acute failure.
    • Causes and diagnosis of obstructive uropathy in children.
    • Diagnosis and principles of management of chronic renal failure.
    • Causes and diagnosis of hematuria.
    • Renal and bladder stones
    • Hemolytic-uremic syndrome

Endocrinology

  • Etiology clinical features & diagnosis of diabetes and hypothyroidism, hyperthyroidism and goiter in children.
  • Delayed and precocious puberty Neonatology
    • Definition – live birth, neonatal period, classification according to weight and gestation, mortality rates.
    • Delivery room management including neonatal resuscitation and temperature control
    • Etiology, clinical features, principles of management and prevention of birth asphyxia.
    • Birth injuries – causes and their recognition.
    • Care of the normal newborn in the first week of life. Normal variations and clinical signs in the neonate.
    • Breast feeding-physiology and its clinical management
    • Identification of congenital anomalies at birth with special reference to anorectal anomalies, tracheo­esophageal fistula, diaphragmatic hernias, neural tube defects.
    • Neonatal Jaundice: causes, diagnosis and principles of management.
    • Neonatal infection- etiology, diagnosis, principles of management. Superficial infections, sepsis.
    • Low birth weight babies-causes of prematurity and small-for-date baby, clinical features and differentiation. Principles of feeding and temperature regulation. Problems of low birth weight babies.
    • Identification of sick newborn (i.e. detection of abnormal signs – cyanosis, jaundice, respiratory distress, bleeding, seizures, refusal to feed, abdominal distension, failure to pass meconium and urine)
    • Recognition and management of specific neonatal problems-hypoglycemia, hypocalcemia, anemia, seizures, necrotizing enterocolitis, hemorrhage
    • Common intra-uterine infections
    • Transportation of a sick neonate.

Pediatrics Emergencies

  • Status epilepticus
  • Status asthmaticus/Acute Severe Asthma
  • Shock and anaphylaxis.
  • Burns
  • Hypertensive emergencies.
  • Gastrointestinal bleed.
  • Comatose child
  • Congestive cardiac failure
  • Acute renal failure

Fluid-Electrolyte

  • Principles of fluid and electrolyte therapy in children
  • Pathophysiology of acid-base imbalance and principle of management

Genetics

  • Principles of inheritance and diagnosis of genetic disorders
  • Down’s syndrome

Behavioral Problems

  • Breath holding spells, nocturnal enuresis, temper tantrums, pica

Pediatrics Surgical Problems

  • Diagnosis and timing of surgery of Cleft lip/palate, hypospadias, undescended testis, tracheo­esophageal fistula, hydrocephalus, CTEV, Umbilical and inguinal hernia, malformations, hypertrophic pyloric stenosis.

Therapeutics

  • Pediatric doses, drug combinations, drug interactions, age specific choice of antibiotics. TEACHING AND LEARNING ACTIVITIES

Teaching in the department will include didactic lectures and practical training.

Didactic Lectures

  1. Introduction to child health and age related influences on child health
  2. Growth: Principles, Normal pattern, clinical indices and use of growth charts
  3. Growth: Abnormal, etiology and approach to management
  4. Development: Principles and normal milestones
  5. Abnormal development: etiology and management
  6. Protein energy malnutrition: Etiology, classification, clinical features, management
  7. Clinical aspects of fluid and electrolyte balance in children
  8. Common vaccines: doses, schedule, contraindications and side effects
  9. Approach to a child with shock
  10. Approach to a child with acute fever
  11. Deficiency disorders of vitamins and micro-nutrients
  12. Approach to a child with acute diarrhea, dehydration and ORS
  13. Persistent diarrhea: etiology, clinical features and management. Dietary therapy in chronic diarrhea
  14. Approach to management of common abdominal symptoms -pain, vomiting, constipation, rectal bleeding etc
  15. Approach to a child with upper respiratory tract infection (LTB, epiglottitis, otitis media, cough and cold)
  16. Approach to a child with lower respiratory infection (pneumonia, bronchiolitis)
  17. Approach to a child with wheezing including asthma
  18. Introduction to newborn care, and classification of neonates.
  19. Care of normal newborn
  20. Breast feeding , weaning diets and lactation failure
  21. Approach to a newborn with respiratory distress
  22. Approach to jaundice in the newborn
  23. Infections in the newborn
  24. Perinatal asphyxia: etiology, clinical features and management
  25. Approach to a child with bleeding & coagulation disorders
  26. Approach to a child with malignancy
  27. Approach to a child with congestive cardiac failure
  28. Rheumatic fever: clinical features, management and prophylaxis
  29. Approach to a child with congenital heart disease
  30. Approach to a child with urinary tract infection including recurrent UTI
  31. Approach to a child in coma
  32. Approach to a child with acute flaccid paralysis
  33. Neonatal seizures and febrile convulsions diagnosis and management
  34. Approach to common genetic disorders including Downs Syndrome
  35. Short stature, hypothyroidism: etiology and management
  36. Adolescent growth, sexual maturation and disorders of Puberty

Practical Training

Practical training will be conducted in 4 phases

1)      IV-V Semester: Location – Out patient department 3 weeks posting in 4 batches of 12-13 students.

2)       VI Semester: Location – Pediatric wards

3 weeks posting in 4 batches of 12-13students. This is a ward posting

3)       VII Semester: Location – Ballabgarh

Once a week teaching session during the six weeks rural posting at Ballabgarh in 4 batches of 12­13 students

4)       VIII Semester: Location – Pediatric wards

2   weeks posting in 4 batches of 12-13students.

IV/ V Semester

Learning objectives (Skills)

  1. Taking a detailed Pediatric history
  2. Conducting physical examination of children
  3. Understanding normal growth and development
  4. Performing anthropometry and its interpretation
  5. Developmental assessment of a child
  6. Assessment of calorie/ protein intake and advise regarding feeding practice
  7. Immunization schedule and administration
  8. Evaluation and management of common OPD conditions
  9. Medical conduct during patient examination

Clinical OPD cases (9.00 am – 12.00 Noon)

  1. Tutorials and demonstration for first one week
  2. Case discussion of common OPD conditions

Subjects for Tutorials cum demonstration

  1. History taking I (Present, past and family)
  2. History taking II (Antenatal, development, immunization, feeding)
  3. General physical examination and Anthropometry
  4. Developmental examination and interpretation of abnormal development
  5. Assessment of nutritional intake and nutritional advice
  6. Demonstration of BCG, OPV, DPT and Measles vaccination, Mx testing

List of OPD cases for discussion

  1. Approach to a child with acute fever (evaluation and management of common febrile conditions including viral fever, enteric fever, malaria, UTI)
  2. Approach to a child with chronic fever (evaluation and management of pulmonary tuberculosis)
  3. Common viral exanthems including measles and chicken pox.
  4. Common skin conditions including pyoderma, scabies
  5. Common GI conditions including acute gastroenteritis, persistent diarrhea and infective hepatitis
  6. Common respiratory conditions including viral URI, bacterial pharyngitis, laryngeal stridor and croup, acute lower respiratory tract infection (LRTI) and asthma.
  7. Common CNS conditions including febrile seizures, epilepsy, developmental delay
  8. Evaluation of normal infants for growth and development and advice regarding nutrition and immunization

VI Semester

Learning objectives (Skills)

  1. Emphasis on Pediatric history taking, physical examination, anthropometry and assessment of growth and development
  2. Care of normal newborn at birth and lying in ward
  3. Counseling for breast feeding/ infant feeding
  4. Evaluation and management of common fluid and electrolyte problems
  5. Evaluation and management of common conditions related to Infectious diseases, Adolescent pediatrics, Respiratory tract, GI tract and Cardiovascular system.

Teaching schedule (9.00 am-1.00pm)

  1. Ward rounds of the allotted beds:                              9.30-10.30 am
  2. Clinical case discussion:                                               10.30-12.00 noon
  3. Tutorials/ Demonstration:                                           12.00-1.00 pm

Ward Rounds

Each student will be allotted 4 beds on the first day of the posting. The students are expected to maintain a diary of all the cases admitted on those 4 beds. The student should be acquainted with the diagnosis and day to day progress of the child. The rounds will be taken daily on a rotation basis.

Clinical case discussion

  1. A.  Neonatology
  2. Neonatal history
  3. Examination of newborn
  4. Care of normal newborn at birth and lying in ward
  5. Breast feeding
  6. Management of common neonatal problems
  7. B.  Pediatrics

Clinical case discussion with emphasis on history taking, physical examination, nutrition and developmental assessment, differential diagnosis, investigations and management.

Case scenarios/ subjects for tutorials/ demonstration

1. Monday Neurological examination SR Peds II
2. Tuesday Fluid therapy in children SR Peds III
3. Wednesday Management of child with diarrhea, ORS SR Peds I
4. Thursday Developmental assessment SR Nursery
5. Friday Approach to URTI, LRTI SR Peds ICU
6. Monday Practical aspects of anthropometry SR Peds II
7. Tuesday Preparation of diet chart SR Peds III/ Dietician
8. Wednesday Immunization: practical aspects SR Peds I
VII Semester (Ballabgarh) Posting  

 

Learning objectives (Skills)

  1. Diagnosis and management of common conditions in community including diarrhea, respiratory tract infections, infections and malnutrition
  2. Immunization
  3. Newborn care at the community level
  4. Awareness regarding National Health programmes

Teaching schedule (10.00 am-1.00 pm)

  1. Clinical case discussion                  10.00-11.30 am
  2. Tutorials                                           11.30-1.00 pm

Clinical case discussion

  1. Neonatal history taking, examination of newborn and breast-feeding.
  2. Management of low birth weight including temperature regulation and sepsis
    1. Case discussion of common pediatric conditions including diarrhea, malnutrition and lower respiratory tract infection

Subjects for tutorials/ demonstration

  1. Newborn resuscitation
  2. Common vaccines used in Pediatrics
  3. Malnutrition and Vitamin deficiencies
  4. National Health programmes specifically ICDS, DOTS, RCH and IMCI

VIII Semester Learning Objectives (skills)

  1. Re-emphasis on taking a detailed Pediatric history, conducting an appropriate physical and development examination of children including neonates, making a clinical diagnosis, interpreting common laboratory results and planning therapy
  2. Evaluation and management of emergencies including neonatal and pediatric resuscitation
  3. Management of neonates requiring special care (including low birth weight and preterm babies)
    1. Exposure to diagnostic and therapeutic procedures such as intravenous access, naso-gastric feeding, venesection, pleural tap, ascitic tap, bone marrow aspiration, lumbar puncture, liver and kidney biopsy
    2. Prescription writing for common disorders of childhood.

Teaching schedule (9.00 am-1.00pm)

  1. Ward rounds of the allotted beds: 9.30-10.30 am
  2. Clinical case discussion:                            10.30-12.00 noon
  3. Tutorials/Demonstration:                         12.00-1.00 pm

Ward Rounds

Each student will be allotted 4 beds on the first day of the posting. The students are expected to maintain a diary of all the cases admitted on those 4 beds. The student should be acquainted with the diagnosis and day to day progress of the child. The rounds will be taken daily on a rotation basis.

Clinical case discussion A.       Neonatology

  1. Normal newborn: History, examination, common problems, breast-feeding.
  2. Management of low birth weight neonates (preterm neonates and IUGR neonates)
  3. Management of neonatal jaundice
  4. Identification of sick newborns
    1. B.  Pediatrics

Clinical case discussion with emphasis on history taking, physical examination, nutrition and developmental assessment, differential diagnosis, investigations and management.

Subjects for Tutorials/ Demonstration

1. Monday Instruments & Procedures I

SR Peds II

2. Tuesday Approach to a child with excessive crying

SR Peds III

3. Wednesday Aerosol therapy

SR Peds I

4. Thursday Neonatal resuscitation

SR Nursery

5. Friday Pediatric resuscitation

SR Peds ICU

6. Monday Instruments & Procedures II

SR Peds II

7. Tuesday Prescription writing for common disorders

SR Peds III

8. Wednesday Common X-rays in Pediatrics

SR Peds I

 

List of Xrays

1. Pneumonia

  1. Primary complex, Miliary tuberculosis
  2. Obstructive emphysema
  3. Pleural effusion
  4. Pneumothorax
  5. Normal thymus
  6. Congenital heart disease with increased/ decreased pulmonary blood flow
  7. Rickets, scurvy, hemolytic anemia
  8. Skull (suture separation, enlarged sella, and raised intracranial tension)

List of Instruments

1. Tuberculin syringe
2. Intravenous cannula
3. Ryle’s tube
4. Lumbar puncture needle
5. Bone marrow aspiration needle
6. Liver biopsy needle
7. Ambu bag and mask
8. Endotracheal tube
9. Laryngoscopes
10. Emergency drugs/ vaccine

 

List of Procedures

  1. Injections (IM, IV, S/C, I/D)
  2. Blood sampling, IV cannula insertion
    1. Naso-gastric tube insertion
    2. Lumbar puncture
    3. Pleural/ Ascitic tap
    4. Bone marrow aspiration
    5. Liver/ Kidney biopsy
    6. Peritoneal dialysis

RECOMMENDED READING BOOKS

Textbooks for Pediatrics

  1. “Essentials of Pediatrics” by OP Ghai, Vinod K Paul and Piyush Gupta (latest edition)
  2. “Care of the Newborn” by Meharban Singh (latest edition)

Reference Books

  1. “Nelson Textbook of Pediatrics” by Richard E. Behrman, Robert M. Kliegman, Waldo E. Nelson and Victor C. Vaughan (latest edition)
  2. “Rudolph’s Pediatrics” by Abraham M. Rudolph, Julien IE Hoffman, Colin D. Rudolph and Paul Sagan (latest edition)

Clinical Methods

  1. “Hutchison’s Clinical Methods” by M Swash (latest edition)
  2. “Pediatrics Clinical Methods” by Meharban Singh (latest edition)

ASSESSMENT AND DISTRIBUTION OF MARKS Final Professional Examination Theory paper

Duration of the theory paper shall be 3 hours. Total marks in final examination shall be 50. The theory paper will have 10 short notes, which will be divided into two sections A and B. Section A will have 5 short notes and section B will have 5 short notes. Both sections have to be answered on separate sheets. The content for these short notes will be divided as:

  1. Short notes (2-3): Mortality indices and National programmes, Growth and development, Nutrition and Immunization
  2. Short notes (2-3): Neonatology
  3. Short notes (5-6): Emergencies and Systemic Pediatrics

Section A will have 5 short notes and will be set and evaluated by the external examiner The duration of this section will be 90 minutes. The content for this section will include all the above 3 components Section B will have 5 short notes and will be set and evaluated by the internal examiner. The duration of this section will be 90 minutes. The content for this section will include all the above 3 components.

Practical

Total marks in final examination shall be 50

The practical examination will be held over 2 days, 25 students each day.

  1. Long case                      20 marks
  2. Short case                     10 marks
  3. Newborn viva 10 marks
  4. Viva voce                      10 marks

(Growth cards, nutrition tray, emergency drugs, instruments)

Pre-Professional Examination

The pattern will be similar except that the marks allotted will be half as compared to final assessment. The division of marks for the subject of Pediatrics in the Final Professional examination will be as

follows:

Total marks                                                          200

Theory                                                                   100

Practical                                     100 Theory marks:

  1. Total for internal assessment        25 IV semester 7.5 VI semester    7.5 VIII semester                                                                   10
  2. Pre-professional assessment                                25
  3. Final professional assessment 50 Practical marks:
    1. Total for internal assessment        25 IV semester 7.5 VI semester    7.5 VIII semester                                                                   10
    2. Pre-professional assessment                                25
    3. Final professional assessment                             50

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